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\ <br /> . <br />� <br /> SYSTEM DESCRIPTION • <br /> HEATING SYSTEMS <br /> Quantity: ! <br /> Make: �� !J �`''Z GlrC�a-> i3D����+� <br /> ModeL• c3 (' !t t� <br /> Fuel: /U�'7 � /f-J,q-� <br /> Flue Size: ��� ��-' ,3 �� �� <br /> Input BTUs: �� v d p ��, ��' � <br /> Output BTUs: �. ��' <br /> CFM: �b--6�� <br />�` <br /> COOLING SYSTEMS <br /> t� Quantity: � <br />�:. <br />�� Make: ���/L .��` <br />' ' ModeL• ��3� <br />;�:" <br /> t$; <br />�;: Tons: <br />�k; � <br />'°°f' H.Power Z <br />;;; <br />;� FIREPLACES GAS LINE ONLY <br />��: <br />� ❑ Gas factory fireplace [�Installing a Gas Line Only <br />�<:: ❑ Wood burning factory fireplace with flue <br />��t ❑ Wood Stove <br /> - ❑ Wood stove with flue <br />-- Brand Name Model No. <br /> VENTILATION <br /> No. itchen Exhaust duct recalculating ��fm <br /> No.�Bath Exhaust(must have duct outside) j cfm <br /> No. Other Fans: Locations cfm <br />;�- FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> ❑ Installation or ❑Removal <br /> ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside <br /> ❑ LP Gas: gallons <br /> ❑ Other Gas opening <br /> 2 <br /> , � <br /> ' , , <br /> , . , <br /> . . <br /> = , . ., . <br /> . , <br /> , <br /> �. . . . , .� . . �, ; . . _._ . �. „ . _ ._�._�. __ . ... ,. <br /> . <br /> . , <br /> , <br /> . .�..n:: <br />